Measurement of circulating CD21-CD27- B lymphocytes in SLE patients is associated with disease activity independently of conventional serological biomarkers.
Details
Serval ID
serval:BIB_79225BAA39D6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Measurement of circulating CD21-CD27- B lymphocytes in SLE patients is associated with disease activity independently of conventional serological biomarkers.
Journal
Scientific reports
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
02/06/2022
Peer-reviewed
Oui
Volume
12
Number
1
Pages
9189
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
Determining disease activity in systemic lupus erythematosus (SLE) patients is challenging and limited by the lack of reliable biomarkers. Abnormally activated B cells play a key role in the pathogenesis of SLE, but their measure in clinical practice is currently not recommended. Here, we studied peripheral B cells to identify a valid biomarker. We analyzed peripheral B cells in a discovery cohort of 30 SLE patients compared to 30 healthy controls (HC) using mass cytometry and unsupervised clustering analysis. The relevant B cell populations were subsequently studied by flow cytometry in a validation cohort of 63 SLE patients, 28 autoimmune diseases controls and 39 HC. Our data show an increased frequency of B cell populations with activated phenotype in SLE compared to healthy and autoimmune diseases controls. These cells uniformly lacked the expression of CD21 and CD27. Measurement of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells in the blood identified patients with active disease and their frequency correlated with disease severity. Interestingly, we did not observe an increase in the frequency of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells in patients with clinically inactive disease but with elevated conventional biomarkers (anti-dsDNA and complement levels). Accordingly, measurement of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells represents a robust and easily accessible biomarker to assess the activity of the disease in SLE patients.
Keywords
Autoimmune Diseases, B-Lymphocytes, Biomarkers, Complement System Proteins, Humans, Lupus Erythematosus, Systemic, Lymphocyte Count
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Careers / PZ00P3_173950
Create date
17/06/2022 16:53
Last modification date
27/08/2024 9:26